| gerryann |
07-12-2015 12:04 PM |
Quote:
Originally Posted by CFrance
(Post 1085705)
From Mayo Florida's web site:
Mayo Clinic will file your primary claim to Medicare. If you have Medigap or other supplemental insurance coverage, Mayo Clinic will submit a claim on your behalf. If your plan includes an automatic crossover option, Medicare will submit the claim to your supplemental plan without your interaction. If you don't know whether your policy has this crossover feature, contact the company that issued the policy.
Since Mayo Clinic is nonparticipating with Medicare, payments are made to you. Medicare will pay 80 percent of approved charges. Your supplemental insurance may cover a portion of your remaining balance. Most covered laboratory services will be paid in full by Medicare and do not require supplemental filing.
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I agree, I made a blanket statement. This is part of a letter that I received from Mayo in regards to coverage. I think the key is to have a supplement plan like Madalaine Amee has.
"According to the insurance information you have provided, you have a PPO/PFFS Medicare Advantage Plan. Your Medicare Part B benefits are now administered by a commercial insurance company and not traditional Medicare. Mayo Clinic in Florida is a non-participating provider with Medicare Part B. Therefore, our charge is set by Medicare at a rate of 15% above a participating provider. We will file your claims to your Medicare Advantage plan and you will be responsible for the remaining balance. Please be aware that if your insurance company requires additional authorizations this may delay your care." |
